天津中医药2025，Vol.42Issue(9)：1132-1136,5.DOI:10.11656/j.issn.1672-1519.2025.09.08
"因虚致瘀"论治原发性血小板增多症疾病后期思路探析
Exploration of therapeutic approaches for advanced-stage essential thrombocythemia on"blood stasis caused by deficiency"
摘要
Abstract
Essential thrombocytosis(ET)is a myeloproliferative tumor characterized by increased platelet count in peripheral blood.The main clinical manifestations are thrombosis and bleeding tendency.Western medicine treatment is mainly based on thrombosis prevention and platelet lowering treatment according to risk stratification.Its side effects are large,and there are many adverse reactions,which seriously affect the quality of life of patients.In the early stage of essential thrombocythemia,exogenous and internal injuries caused the accumulation of pathogenic factors in the body,the struggle between healthy qi and pathogenic factors,and the excess as the main.With the progress of the disease,it is attacked by the excess and pathogenic factors.Over time,it is easy to make qi,blood,yin and yang deficiency,deficiency can cause blood stasis.Based on the clinical observation and the summary of the experience of famous old Chinese medicine doctors in the diagnosis and treatment of ET,the author and the team of our department put forward the theory of"blood stasis caused by deficiency"in the later stage of ET disease,and believed that the cause of ET is the lack of congenital endowment,acquired dystrophy,combined with the attack of evil qi,resulting in endogenous blood stasis.The author analyzes the internal pathogenesis of the disease from the perspective of weakened function of zangfu organs and disharmony of qi,blood,yin and yang.Taking"tonifying deficiency and removing blood stasis"as the basic treatment principle,the treatment is based on the three zang-organs of liver,spleen and kidney,and one proven case is attached for evidence.关键词
原发性血小板增多症/积聚/因虚致瘀/气血/阴阳Key words
essential thrombocythemia/accumulation/blood stasis caused by deficiency/qi and blood/yin and yang分类
医药卫生引用本文复制引用
钱宇骁,黄晓华,石颖,马薇,郎海燕.."因虚致瘀"论治原发性血小板增多症疾病后期思路探析[J].天津中医药,2025,42(9):1132-1136,5.基金项目
中华中医药学会血液系统疾病课题(202169-004) （202169-004）
陕西省重点研发计划(2022SF-598). （2022SF-598）
